Organization Active NPI

Muir Wood, LLC.

  • Psychiatric Residential Treatment Facility
  • Penngrove, CA
National Provider Identifier
1699459966
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
MUIR WOOD, LLC.
Practice address
6851 Cold Springs Rd
Penngrove, CA 94951-9722
Phone
(855) 684-7966
Fax
(707) 559-5401
NPI assigned
Jun 14, 2023
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MUIR WOOD, LLC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bryan Bowen
Title
Coo
Phone
(415) 497-7722

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

6851 Cold Springs Rd
Penngrove, CA 94951-9722

Mailing address

201 1St St Ste 111
Petaluma, CA 94952-4291
Phone (415) 497-7722

Other practice location 1

1336 Skillman Ln
Petaluma, CA 94952-1228
Phone (855) 684-7966

Other names 1

  • Muir Wood Adolescent Family Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Muir Wood LLC22 organizations share this tax ID, including this one
Part of
Muir Wood LLC

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1699459966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 1ST ST STE 111",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949524291",
            "telephone_number": "415-497-7722",
            "fax_number": "707-781-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 COLD SPRINGS RD",
            "city": "PENNGROVE",
            "state": "CA",
            "postal_code": "949519722",
            "telephone_number": "855-684-7966",
            "fax_number": "707-559-5401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1336 Skillman Ln",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949521228",
            "country_code": "US",
            "telephone_number": "855-684-7966",
            "fax_number": "707-559-5401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MUIR WOOD, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MUIR WOOD, LLC.",
        "enumeration_date": "2023-06-14",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "415-497-7722"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muir Wood Adolescent Family Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Penngrove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.